Individual provider Active NPI

Katherine S Jender, CNP

  • Family Nurse Practitioner
  • Holland, OH
National Provider Identifier
1205192176
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.05536 Issued in OH
Practice address
6135 Trust Dr
Suite 114
Holland, OH 43528-9358
Phone
(419) 491-0041
Fax
(419) 491-0042
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.05536 OH Primary

Addresses

Primary practice location

6135 Trust Dr
Suite 114
Holland, OH 43528-9358

Mailing address

6135 Trust Dr
Suite 114
Holland, OH 43528-9358
Phone (419) 491-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000629 OH Practitioner - Nurse Practitioner 3476716697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Ohio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood County Womens Care of Bowling Green, LLCGroup PAC ID 0648260729, 7 clinicians

Practice addresses (Care Compare)

1214 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone (419) 352-8427

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wood County Womens Care of Bowling Green, LLC CurrentSince May 17, 2023 Accepting new patients

Locations

1214 Ridgewood Dr
Bowling Green, OH 43402
Phone (419) 352-8427

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

L4285
Columbus, OH 43260

28442 E River Rd
Perrysburg, OH 43551
Phone (419) 872-3201

3150 Bostwick Rd
Perrysburg, OH 43551
Phone (419) 354-8900

Interoperability endpoints

  • Direct secure messaging: katherine.jender.p2@direct.whc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: katherine.jender.p1@direct.whc.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1205192176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 TRUST DR",
            "address_2": "SUITE 114",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289358",
            "telephone_number": "419-491-0041",
            "fax_number": "419-491-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 TRUST DR",
            "address_2": "SUITE 114",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289358",
            "telephone_number": "419-491-0041",
            "fax_number": "419-491-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDER",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.05536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.